Active NPIIndividual provider

Darin W Bradley, PA-C

Physician Assistant, Medical in New Bern, North Carolina

NPI Number1679568349
Practice location
2002 S Glenburnie RD Ste 100, New Bern, NC 28562-5229
Fax
—
Last updated
March 12, 2024

Darin Walter Stanley Bradley is a Physician Assistant, Medical based in New Bern, NC. Darin Walter Stanley Bradley practices in New Bern, NC and has the professional credentials of PA-C. The NPI Number for Darin Walter Stanley Bradley is 1679568349 and holds a License No. 055-0030633 (VT). The current practice location address for Darin Walter Stanley Bradley is 2002 S Glenburnie RD Ste 100, New Bern, NC 28562-5229 and can be reached out via phone at 252-631-5188.

Provider Profile Details

NPI Number
1679568349
Provider Name
Darin Walter Stanley Bradley
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2002 S Glenburnie RD Ste 100, New Bern, NC 28562-5229
Phone Number
252-631-5188
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2005
Last Update Date
March 12, 2024
Certification Date
March 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2002 S Glenburnie RD Ste 100
New Bern, NC 28562-5229
Zip
28562-5229
Phone Number
252-631-5188
New Bern, NC 28562Get directions →

Provider Business Mailing Address Details

Address
906 Davit Ln
New Bern, NC 28560-7204
City
New Bern
State
NC
Zip
28560-7204
Phone Number
802-989-1305

License Information

License Number (1)
055-0030633
License State (1)
VT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
0010-11814
License State (2)
NC
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Darin W Bradley, PA-C?

The NPI number of Darin W Bradley, PA-C is 1679568349. It was assigned on September 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Darin W Bradley, PA-C?

Darin W Bradley, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 055-0030633.

Where does Darin W Bradley, PA-C practice?

The practice location is 2002 S Glenburnie RD Ste 100, New Bern, NC 28562-5229. The office can be reached at 252-631-5188 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679568349 directly on the NPPES registry website.

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